Organization Active NPI

Chiropractic and Family Alternative Health Facility Trust

  • Health Service Clinic/Center
  • Staten Island, NY
National Provider Identifier
1629523055
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
X-002011 Issued in NY
Legal business name
CHIROPRACTIC AND FAMILY ALTERNATIVE HEALTH FACILITY TRUST
Practice address
3676 Richmond Ave
Staten Island, NY 10312-3835
Phone
(718) 984-5869
Fax
(718) 984-5583
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Kevin Hand, D.C.
Title
Managing Agent
Phone
(718) 984-5869

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X X-002011 NY Primary
Health Service Clinic/Center 261QH0100X 003791-1 NY

Addresses

Primary practice location

3676 Richmond Ave
Staten Island, NY 10312-3835

Mailing address

3676 Richmond Ave
Staten Island, NY 10312-3835
Phone (718) 984-5869

National Provider Directory

National Provider Directory

Locations

3676 Richmond Ave
Staten Island, NY 10312
Phone (718) 984-5869

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1629523055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123835",
            "telephone_number": "718-984-5869",
            "fax_number": "718-984-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123835",
            "telephone_number": "718-984-5869",
            "fax_number": "718-984-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND FAMILY ALTERNATIVE HEALTH FACILITY TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING AGENT",
        "authorized_official_telephone_number": "718-984-5869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "X-002011",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "003791-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.